1. The influence of Transversus Abdominis Muscle Release (TAR) for complex incisional hernia repair on the intraabdominal pressure and pulmonary function
- Author
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S Zdroba, D Gheorghescu, Ovidiu Grad, Florin Buia, S Mardale, Valentin Oprea, and R Nica
- Subjects
medicine.medical_specialty ,Transversus Abdominis Release ,Posterior component separation ,Incisional hernia ,030230 surgery ,Pulmonary function testing ,03 medical and health sciences ,0302 clinical medicine ,Tar (tobacco residue) ,Recurrence ,Complex incisional hernia ,medicine ,Humans ,Incisional Hernia ,Respiratory function ,Hernia ,Abdominal perfusion pressure ,Herniorrhaphy ,Abdominal Muscles ,Retrospective Studies ,COPD ,Intra-abdominal pressure ,business.industry ,Abdominal Wall ,Perioperative ,Middle Aged ,Plateau pressure ,Surgical Mesh ,medicine.disease ,Hernia, Ventral ,Surgery ,030220 oncology & carcinogenesis ,Original Article ,business ,Abdominal surgery - Abstract
Introduction Among many other techniques for Abdominal Wall Reconstruction (AWR), posterior component separation with Transversus Abdominis Release (TAR), continues to gain popularity and it is increasingly used with promising long-term results. Our goal was to evaluate the influence of TAR with mesh retromuscular reinforcement on the intra-abdominal pressure (IAP) and respiratory function in a series of patients with complex incisional hernias (IH). Methods Since November 2014 through February 2019, patients with TAR were identified in the Clinical Department of Surgery database and were retrospectively reviewed. Outcome measures include: demographics, pre- and perioperative details, preoperative and postoperative IAP and plateau pressure (PP). Results One-hundred-and-one consecutive TAR procedures (19.7% from all incisional hernia repairs) were analyzed. Mean age was 63 years with a mean Body Mass Index (BMI) of 31.85 kg/m2 (25–51). Diabetes and Chronic Obstructive Pulmonary Disease (COPD) were the main major comorbidities. Mean hernia defect area was 247 cm2 (104–528 cm2). Conclusion TAR is a safe and sound procedure with acceptable modifications of the IAP morbidity and recurrence rate when correctly performed on the right patient.
- Published
- 2021